A2V -SHORT RELEASE OF LIABILITY FOR DELIVERANCE AND HEALING MINISTRY COUNSELING SERVICE
E-mail Address:
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C3 - please read and initial and sign below that you acknowlege this form. Please initial
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I will listen to the preparation videos and other links before my scheduled meeting: Please Initial
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Release of Liability I agree with Section One - Doctors and Medicine, Please initial - I do hereby enter into a personal ministry agreement with Touch of God International Ministries Ministry Team for deliverance and healing ministry sessions.Touch of God International Ministries advises anyone taking medicine to not stop or to forego medical care, or mental health disease. The undersigned acknowledges and agrees that the very nature of their problem(s) is necessarily such that no specific result(s) can be promised or warranted by any ministry counseling services.
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Release of Liability - Section Two - Neglect or Abuse of Children, if in agreement, please initial - By law, there are certain situations in which information about individuals undergoing ministry may be released with or without their permission. These situations are as follows: When knowledge that children, under your care, or outside your care, are going through abuse, neglect, or in danger, then Touch of God, by law, must call the proper authorities., In emergency situations where there may be danger to the client or others, as with homicide or suicide, then confidentiality may be broken, If a court of law issues a legitimate subpoena relating to child abuse case, we are required by law to provide the information specifically described in the subpoena,If an unreported life-threatening felony has been committed, we are required by law to report it to the police, We also never advise anyone to stop their psychiatry care for mental health disease. We may deny our services.
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Release of Liability - Section Three - Licensed Therapists, if in agreement, please initial - I acknowledge Touch of God International Ministries are not licensed counselors, therapists, medical or psychological practitioners. Ministers are prayer facilitators only,I am responsible for my own behavior, memories and life decisions. I take full responsibility for the results of my decisions, good or bad for my life,Touch of God International Ministries offers no guarantee for healing or deliverance,I understand that Touch of God International Ministries does not offer urgent care, emergency prayer, aftercare or mental health services, and Touch of God International ministers reserve the right to discontinue ministry at any time for any reason. I acknowledge that active occult behavior may immediately terminate the ministry relationship.
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Release of Liability - Section Four - Appointment Policy, if in agreement, please initial -Ministry services are provided by appointment only, To cancel or reschedule an appointment, please provide at least 24-hour notice, Missed appointments will incur a one-hour fee (Discretionary), As much as we love each person we serve, we aren’t available for urgent or emergency support unless previously arranged directly by the minister. Please keep a mental health services number handy or dial 911 for emergencies or call 1-800-273-TALK (8255), if you feel the urge to commit suicide, If a person does not contact within 24 hours and forgets, I may still minister. If the person fails to contact and does not show up the second time, I will refuse ministry, Ministry is through zoom, and I require camera and audio, if not in person.
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Release of Liability - Section Five - - The undersigned fully understands the nature of a healing and deliverance ministry counseling such as offered by Touch of God International Ministries. The undersigned waives and releases Touch of God International Ministries from any and all actions, courses of action claims, demands, damages, costs, loss of services, expenses and compensation, on account of any and all known and unknown personal injuries mental anguish or agitation and damage claims to person or property resulting from or arising out of, or related to, healing and deliverance counseling services and ministerial services at any point after the date of this release.
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Section Six: Appointment Time/Payment: Cost of Ministry is Due Before the Time. It is expected for you to be on time on the designed time (CST) and I will only wait 15 to 20 minutes for you. If you don't show up, I will take it that you don't want the ministry. If you are running late, it is your responsibility to contact me. Please initial in agreement. If you paid and are a no show with no contacting the ministry and change your mind for ministry, only 50% reimbursed. If you do it a second time, no reimbursement.
Section Seven: First and Last Name of Signature (real name not fake name) for Release of Liability for Deliverance and Healing Ministry Counseling Services
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Due to COVID Pandemic, we are only doing ministry through zoom online. Do You Still Want Ministry?
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Yes, I still want miistry
No
Maybe later at a different time. When I am ready, I will contact you.
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